PURPOSE/ OBJECTIVES: To explore the relationship between attitudes toward digital rectal examination (DRE) and participation in prostate cancer screening among African American men. DESIGN: Survey. SETTING: Prostate cancer screenings with a prostate-specific antigen (PSA) blood test held at churches with African American members in Detroit, MI. SAMPLE: 613 African American men between the ages of 40 and 70. METHODS: Self-administered, structured questionnaires examining attitudes toward DRE, past experiences with DRE, and fear of cancer. MAIN OUTCOME MEASURES: Willingness to undergo DRE. FINDINGS: The majority of men who were screened had positive attitudes about DRE. Fear of cancer was associated with negative attitudes toward DRE. DREs were not a deterrent among men who attended the screenings. CONCLUSION: Negative attitudes toward DRE do not necessarily deter African American men from participating in prostate cancer screenings. IMPLICATIONS FOR NURSING PRACTICE: Prostate cancer screening programs should attempt to use both DRE and PSA. More reliable prostate cancer indicators are obtained by incorporating DRE with PSA tests.
PURPOSE/ OBJECTIVES: To explore the relationship between attitudes toward digital rectal examination (DRE) and participation in prostate cancer screening among African American men. DESIGN: Survey. SETTING:Prostate cancer screenings with a prostate-specific antigen (PSA) blood test held at churches with African American members in Detroit, MI. SAMPLE: 613 African American men between the ages of 40 and 70. METHODS: Self-administered, structured questionnaires examining attitudes toward DRE, past experiences with DRE, and fear of cancer. MAIN OUTCOME MEASURES: Willingness to undergo DRE. FINDINGS: The majority of men who were screened had positive attitudes about DRE. Fear of cancer was associated with negative attitudes toward DRE. DREs were not a deterrent among men who attended the screenings. CONCLUSION: Negative attitudes toward DRE do not necessarily deter African American men from participating in prostate cancer screenings. IMPLICATIONS FOR NURSING PRACTICE: Prostate cancer screening programs should attempt to use both DRE and PSA. More reliable prostate cancer indicators are obtained by incorporating DRE with PSA tests.
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